MEDICARE: SUZY CHIU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT 15217	FL

General Provider Information

NPI Number	:	1386904670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZY CHIU

Provider Business Mailing Address
First Line	:	4066 PARK AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6352
Country	:	US
Telephone Number	:	786-218-3344
Fax Number	:

Provider Business Practice Location Address
First Line	:	4066 PARK AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-6352
Country	:	US
Telephone Number	:	786-218-3344
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2012
Last Update Date	:	05/21/2012

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Directions to “ SUZY CHIU ” Practice Location

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